Spontaneous Non-Traumatic Emphysema in Toddler: The Neglected Foreign Body
Keywords:Foreign Body Airway, Paediatrics, Pneumomediastinum, Rigid Bronchoscopy, Subcutaneous Emphysema
Foreign body aspiration is a major cause of fatality and morbidity in children. The child may present acutely with signs of respiratory distress or chronically with symptoms suggestive of respiratory infection. Variable presentations make it difficult to diagnose a case of foreign body aspiration, especially in the absence of a clear history of aspiration. Subcutaneous emphysema and pneumomediastinum are rare presentations. Here, we report a case of 2-year-old child who presented with non-traumatic extensive neck and upper chest subcutaneous emphysema. Computed tomography revealed there was presence of foreign body in left bronchus. Emergency bronchoscopy found a piece of peanut in the left main bronchus. It was successfully removed and the patient was discharged well after three days.
Itasca, IL. National Safety Council: Injury Facts, 2001 Edition. pp. 8-11, 16-18, 30, 152.
Mu, L., He, P., & Sun, D. Inhalation of foreign bodies in Chinese children. The Laryngoscope, 1991: 101(6): 657-60.
Bressler KL, Green CG, Holinger LD. Chapter 27-Foreign body aspiration. In: Taussig LM, Landau LI (eds). Pediatric Respiratory Medicine. 1999, Carlsbad: St. Louis: Mosby, pp. 430-5.
Cotton RT. Chapter 34-Foreign body aspiration. In: Chernick V, Boat TF (eds). Kendig's Disorders of the Respiratory Tract in Children, sixth edition. 1998, Philadelphia: WB Saunders Company, pp. 601-7.
Sahin A, Meteroglu F, Eren S, Celik Y. Inhalation of foreign bodies in children: experience of 22 years.J Trauma Acute Care Surg 2013;74(2):658-63.
Sattar A, Ahmad I, Javed AM, Anjum S. Diagnostic accuracy of chest x-ray in tracheobronchial foreign body aspiration in pediatric patients. J Ayub Med Coll Abbottabad 2011;23(4):103-5.
Findlay CA, Morrissey S, Paton JY. Subcutaneous emphysema secondary to foreign body aspiration. Pediatr Pulmonol2003;36(1):81-2.
Nakhosteen JA. Tracheobronchial foreign bodies. Eur Respir J 1994;7(3):429–30.
Ganie FA, Wani ML. The efficacy of rigid bronchoscopy for foreign body aspiration. Bull Emergency Trauma2014;2(1):52-4.
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